The relationship between adverse childhood experiences and interpersonal problems in adulthood among individuals aged 18 - 60 years

Authors

  • Rose Siripipatkajorn, M.Sc. Master of Science, Program in Mental Health, Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Buranee Kanchanatawan, M.D. Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

DOI:

https://doi.org/10.64838/jmht.2026.286645

Keywords:

adverse childhood experiences, generation, interpersonal problems, interpersonal relationships

Abstract

Objective: To examine the association between adverse childhood experiences (ACEs) and interpersonal problems in adulthood.

Methods: A cross-sectional study was conducted among Thai adults aged 18 - 60 years. Data were collected through online questionnaires consisting of the Thai version of the Adverse Childhood Experiences Questionnaire and the Thai Interpersonal Questionnaire. Associations were examined using multiple linear regression analyses, both overall and stratified by generation (Generation X, Y, and Z).

Results: A total of 106 participants were included, of whom 76.4% were female, 40.6% were in Generation X, 38.7% were in Generation Y, and 20.8% were in Generation Z. The mean ACEs score was 4.11. The most frequently reported ACEs were emotional neglect (70.7%), physical neglect (62.3%) and emotional abuse (61.3%). In the overall analysis, emotional neglect was significantly associated with interpersonal disputes (β = 0.31, p = .004), whereas emotional abuse was significantly associated with interpersonal deficits (β = 0.26, p = .018). Stratified analyses showed that among Generation X participants, ACEs were associated with multiple dimensions of interpersonal problems, including grief, interpersonal disputes, and interpersonal deficits. In contrast, among Generation Y and Generation Z participants, significant associations were observed only with interpersonal disputes and interpersonal deficits, respectively.

Conclusion: ACEs, particularly emotional neglect and emotional abuse, were associated with interpersonal problems in adults. The patterns of these associations varied across generations, reflecting the long-term impact of ACEs on the development and maintenance of interpersonal relationships in adulthood.

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References

Elder GH, Johnson MK, Crosnoe R. The emergence and development of life course theory. In: Mortimer JT, Shanahan MJ, editors. Handbook of the life course. New York: Springer; 2003. p. 3-19. DOI: https://doi.org/10.1007/978-0-306-48247-2_1

Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, et al. The enduring effects of abuse and related adverse experiences in childhood: a convergence of evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci. 2006;256(3):174-86. DOI: https://doi.org/10.1007/s00406-005-0624-4

Bowlby J. A secure base: Parent-child attachment and healthy human development. New York: Basic Books; 1988.

Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14(4):245-58. DOI: https://doi.org/10.1016/S0749-3797(98)00017-8

Mikulincer M, Shaver PR. Attachment in adulthood: structure, dynamics, and change. New York: Guilford Press; 2007.

Colman RA, Widom CS. Childhood abuse and neglect and adult intimate relationships: A prospective study. Child Abuse Negl. 2004;28(11):1133-51. DOI: https://doi.org/10.1016/j.chiabu.2004.02.005

Paradis A, Boucher S. Child maltreatment history and interpersonal problems in adult couple relationships. J Aggress Maltreat Trauma. 2010;19(2):138-58. DOI: https://doi.org/10.1080/10926770903539433

Dimock M. Defining generations: where millennials end and generation Z begins [Internet]. Washington DC: Pew Research Center; 2019 [cited 2026 May 14]. Available from: https://www.pewresearch.org/short-reads/2019/01/17/where-millennials-end-and-generation-z-begins/.

Cochran WG. Sampling techniques. 3rd ed. New York: John Wiley & Sons; 1977.

National Statistical Office. Population and housing statistics 2023. Bangkok: Ministry of Digital Economy and Society; 2023. (in Thai).

Rungmueanporn L, Buathong N, Chandarasiri P, Wittayasai W. Development of the Adverse Childhood Experiences (ACE) Questionnaire Thai version. Chulalongkorn Medical Bulletin. 2019;1(3):251-60. (in Thai).

Lueboonthavatchai P, Thavichachart N. Universality of interpersonal psychotherapy (IPT) problem areas in Thai depressed patients. BMC Psychiatry. 2010;10:87. DOI: https://doi.org/10.1186/1471-244X-10-87

Weissman MM, Markowitz JC, Klerman GL. Comprehensive guide to interpersonal psychotherapy. New York: Basic Books; 2000.

Jiamwijitkul P. Romantic relationship quality, adverse childhood experiences, and the association between romantic relationship quality and mental health of undergraduate students at Chulalongkorn University [Master's thesis]. Bangkok: Chulalongkorn University; 2023. (in Thai)

Berzenski SR. Distinct emotion regulation skills explain psychopathology and problems in social relationships following childhood emotional abuse and neglect. Dev Psychopathol. 2019;31(2):483-96. DOI: https://doi.org/10.1017/S0954579418000020

Junla D, Yotanyamaneewong S. Cultural values, parenting and child adjustment in Thailand. Int J Psychol. 2024;59(4):559-67. DOI: https://doi.org/10.1002/ijop.13111

Christ C, de Waal MM, Dekker JJM, van Kuijk I, van Schaik DJF, Kikkert MJ, et al. Linking childhood emotional abuse and depressive symptoms: The role of emotion dysregulation and interpersonal problems. PLoS One. 2019;14(2):e0211882. DOI: https://doi.org/10.1371/journal.pone.0211882

Arnett JJ. Emerging adulthood: a theory of development from the late teens through the twenties. Am Psychol. 2000;55(5):469-80. DOI: https://doi.org/10.1037/0003-066X.55.5.469

Palmier-Claus J, Golby R, Stokes LJ, Saville CWN, Velemis K, Varese F, et al. The relationship between childhood adversity and affective instability across psychiatric disorders: A meta-analysis. Acta Psychiatr Scand. 2025;151(1):33-45. DOI: https://doi.org/10.1111/acps.13745

Dube SR, Felitti VJ, Dong M, Chapman DP, Giles WH, Anda RF. Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use. Pediatrics. 2003;111(3):564-72. DOI: https://doi.org/10.1542/peds.111.3.564

Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310-57. DOI: https://doi.org/10.1037/0033-2909.98.2.310

Erikson EH. Identity: youth and crisis. New York: W.W. Norton; 1968.

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Published

2026-06-26

How to Cite

1.
Siripipatkajorn R, Kanchanatawan B. The relationship between adverse childhood experiences and interpersonal problems in adulthood among individuals aged 18 - 60 years. J Ment Health Thai [internet]. 2026 Jun. 26 [cited 2026 Sep. 4];34(2):114-2. available from: https://he01.tci-thaijo.org/index.php/jmht/article/view/286645

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